Individual
SUSAN LYNN MATTHEW
Active
Individual
SUSAN LYNN MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
559909
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
559909
TX
363LG0600X
Gerontology Nurse Practitioner
559909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321912302
—
TX
05
—
321912304
—
TX
01
—
8565NQ
BCBS
TX
01
—
8574NM
BCBS
TX
Enumeration date
01/02/2013
Last updated
07/24/2026
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